2013 年美国急诊治疗非致命性损伤的预期终身医疗和工作损失成本。

Estimated Lifetime Medical and Work-Loss Costs of Emergency Department-Treated Nonfatal Injuries--United States, 2013.

出版信息

MMWR Morb Mortal Wkly Rep. 2015 Oct 2;64(38):1078-82. doi: 10.15585/mmwr.mm6438a5.

Abstract

A large number of nonfatal injuries are treated in U.S. emergency departments (EDs) every year. CDC's National Center for Health Statistics estimates that approximately 29% of all ED visits in 2010 were for injuries. To assess the economic impact of ED-treated injuries, CDC examined injury data from the National Electronic Injury Surveillance System--All Injury Program (NEISS-AIP) for 2013, as well as injury-related lifetime medical and work-loss costs from the Web-Based Injury Statistics Query and Reporting System (WISQARS). NEISS-AIP collects data from a nationally representative sample of EDs, using specific guidelines for recording the primary diagnosis and mechanism of injury. Number of injuries, crude- and age-specific injury rates, and total lifetime work-loss costs and medical costs were calculated for ED-treated injuries, stratified by sex, age groups, and intent and mechanism of injury. ED-treated injuries were further classified as those that were subsequently hospitalized or treated and released. The rate of hospitalized injuries was 950.8 per 100,000, and the rate of treated and released injuries was 8,549.8 per 100,000. Combined medical and work-loss costs for all ED-treated injuries (both hospitalized and treated and released) were $456.9 billion, or approximately 68% of the total costs of $671 billion associated with all fatal and ED-treated injuries. The substantial economic burden associated with nonfatal injuries underscores the need for effective prevention strategies.

摘要

每年都有大量的非致命性伤害在美国的急诊部(ED)接受治疗。疾病预防控制中心的国家卫生统计中心估计,2010 年所有 ED 就诊中有大约 29%是因伤害所致。为了评估 ED 治疗的伤害的经济影响,疾病预防控制中心检查了 2013 年全国电子伤害监测系统-全部伤害计划(NEISS-AIP)的伤害数据,以及 Web 伤害统计查询和报告系统(WISQARS)的与伤害相关的终身医疗和工作损失成本。NEISS-AIP 从全国具有代表性的 ED 样本中收集数据,使用特定的指南记录主要诊断和伤害机制。计算了 ED 治疗的伤害的数量、总粗率和年龄特定率,以及总终身工作损失成本和医疗成本,按性别、年龄组、意图和伤害机制进行分层。ED 治疗的伤害进一步分为随后住院或接受治疗和出院的伤害。住院伤害的发生率为每 10 万人 950.8 例,接受治疗和出院的伤害的发生率为每 10 万人 8549.8 例。所有 ED 治疗的伤害(包括住院和接受治疗和出院)的医疗和工作损失总成本为 4569 亿美元,约占与所有致命和 ED 治疗伤害相关的 6710 亿美元总成本的 68%。非致命性伤害带来的巨大经济负担突出表明需要采取有效的预防策略。

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